Fatty liver disease can develop into cirrhosis of the liver, which increases the risk of liver cancer—yet in the early stages has no symptoms. How do we prevent and/or treat it?
Jonathan Liu, a professor at a Canadian public college, introduced how traditional Chinese medicine (TCM) treats fatty liver in the program “Health 1+1.” He also recommends some dietary practices to eliminate it.
Fatty liver is a disease in which fat accumulates in the liver and includes two broad groups: alcoholic and non-alcoholic. Alcoholic fatty liver occurs only in heavy drinkers, especially those who drink regularly, while non-alcoholic fatty liver disease is more common.
Liu said that the cause of non-alcoholic fatty liver is still unclear. It is postulated that conditions such as obesity, metabolic abnormalities, hyperlipidemia, genetics, pregnancy, long-term use of sebum hormones, and cancer chemotherapy drugs, may be some causes of non-alcoholic fatty liver.
Liu emphasized that if fatty liver is left unattended, it may slowly develop into more serious diseases such as liver cirrhosis and even liver cancer. Therefore, early detection and vigorous post-detection treatment are particularly important.
6 Symptoms of Fatty Liver
So how can we detect fatty liver disease early? According to Liu, people with fatty liver may experience the following six symptoms:- Fatigued easily.
- Degeneration of brain function.
- Loss of appetite.
- Weight loss.
- Gastrointestinal bleeding.
- Accumulation of fluid in the abdominal cavity.
Acupuncture Plus Application of Medicine to Remove Fat
Liu further explained that TCM regards fatty liver as the accumulation of pathological products, which is also called phlegm dampness in TCM. There are two reasons for phlegm dampness. One is the dysfunction of the viscera (the internal organs in the main cavities of the body). In this case, treatment is focused on the removal of pathological accumulations.The other is that the positive energy of the viscera is insufficient—thus the waste cannot be metabolized completely, and the energy of the viscera must be increased. Both conditions can be resolved through acupuncture and the application of Chinese medicine in tandem.
Acupuncture and moxibustion (the burning of mugwort leaves close to the skin) can be applied on relevant acupoints along the gallbladder meridian. Specifically, Zulinqi (GB41), Yanglingquan (GB34)—which can regulate the bile and liver function—Waiguan (SJ5), Renmai Zhongwan (Ren12), and Qihai (Ren6). Qihai can increase the energy in the body, thereby removing phlegm dampness.
Tianshu (ST25), Shuidao (ST28), and Fenglong (ST40) can burn localized fat, eliminating pathological deposits.
Next, to enhance the energy of the viscera, select the Ganyu (BL18), Piyu (BL20), and Shenyu (BL23), which in turn can enhance the energy and hence the function of the liver, kidneys, and spleen—allowing all nutrient intake into the body to be absorbed by the viscera normally and converted into the energy required by the body.



In terms of TCM, the prescription should be chosen according to the symptoms and the patient’s constitution.
People with weak spleen and stomach can use Liujunzi (six combinations) decoction to invigorate the spleen and reduce phlegm. After the spleen itself is reinforced, it is easier to excrete pathological products from the body. According to the viscera theory of TCM, the spleen is not just an organ as described in modern medicine, but a system that functions to transfer energy around the whole body.
People with heavy phlegm and dampness can use Dachaihu decoction, which is based on the principle of soothing the liver and strengthening the spleen, to enhance the reduction of blood fat, reduce fatty liver, and even lose weight. In addition, Yinchen (Artemisiae scopariae herba), fermented red rice, and raw rhubarb can also be used to enhance the elimination of fat accumulated in the body or blood.
How To Avoid a Fatty Liver
Liu recommends avoiding six kinds of food:- High-cholesterol animal offal (organ meats).
- Chicken skin.
- Seafood.
- Fatty meat.
- Crab roe.
- Bone marrow.

- Monitor fat intake: about 50g (1.8 ounces) per day for adults, never go more than 30 percent of total calories.
- Monitor sugar intake: not to exceed 60 percent of total calories—especially reduce sweet baked goods, snacks, and other foods containing refined sugar.
- Take sufficient vitamins, minerals, and trace elements.
- Supplement dietary fiber: Eat more whole grains, nuts, beans, shiitake mushrooms, kelp, and vegetables.
- Avoid alcohol and eat less salt: Alcohol can worsen fatty liver, and less salt can help you lose weight.
- Drink more tea: Try more white, green, and oolong teas to reduce fat.
*Some herbs mentioned in this article may be unfamiliar, but they are generally available in Asian supermarkets.